U.S.A. Rentals Only
15838 N 62nd Street Scottsdale AZ 85254-1988
Telephone: 800-VIDEO 74 (800-843-3674) 480-596-9970 Fax: 480-596-9973
Instructions: Complete this form, then click on the Submit icon
Print this form and fax to 480-596-9973
= Required Field
Enter Video Order # and Title in the Spaces
Please "x" the type of order
you are placing
We Gladly Accept
We also welcome your personal or company check and money orders.
In the event your first selections are not available please include 2 alternate video
titles in the spaces above.
Enter Your Credit Card Number with Expiration date in the space below
Credit or Debit Card #
If Paying By check
By Completing and submitting this Rental Order Form
you are agreeing to the following
RENTAL TERMS AND CONDITIONS
"I, the undersigned, accept the rental tapes and agree to return the same in
good condition within the prescribed time or to pay for repairs, replacements, or
additional rental charges. I agree to maintain personal possession of rental items
and agree not to lend them to anyone else. This is a rental agreement and therefore,
title to rental items shall always remain with Video Learning Library, L.L.C.. If
rental items are lost, stolen or destroyed, I agree to purchase such rental items
at Video Learning Library's retail price for such item as of this date, less the
amount of rental fees paid."
THANK YOU FOR YOUR ORDER
In-stock items will be shipped within 48 hours. Out of stock product will be back
ordered. Please allow 2-3 weeks for delivery.
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